<html>
<body bgcolor="#fdfec5">
<center><img src="images/7.jpeg" height=220 width=300 /></center>
<center><font color="green" size="5"><b><u>Issue Details Of Customer</u></b></font></center>
<br><br>
<form name="form1" style="margin:0px" action="issuepayment1.jsp">

<input name="checkno" type="text" style="position:absolute;width:97px;left:635px;top:357px;z-index:7">
<input name="issue" type="text" style="position:absolute;width:97px;left:636px;top:394px;z-index:8">
<input name="date" type="text" style="position:absolute;width:97px;left:637px;top:430px;z-index:9">
<select name="type" style="position:absolute;width:100px;left:637px;top:470px;z-index:9">
<option>Issued</option>
<option>Nonissued</option>
</select>
<input name="formbutton1" type="submit" value="Send" style="position:absolute;left:616px;top:518px;z-index:11">
</form>

<div id="text1" style="position:absolute; overflow:hidden; left:521px; top:325px; width:94px; height:22px; z-index:1">
<div class="wpmd">
<div></div>
</div></div>

<div id="text2" style="position:absolute; overflow:hidden; left:522px; top:360px; width:80px; height:21px; z-index:2">
<div class="wpmd">
<div><font face="Times New Roman" class="ws14">Check No</font></div>
</div></div>

<div id="text3" style="position:absolute; overflow:hidden; left:525px; top:397px; width:68px; height:22px; z-index:3">
<div class="wpmd">
<div><font face="Times New Roman" class="ws14">Issuedto</font></div>
</div></div>

<div id="text4" style="position:absolute; overflow:hidden; left:525px; top:434px; width:39px; height:22px; z-index:4">
<div class="wpmd">
<div><font face="Times New Roman" class="ws14">Date</font></div>
</div></div>

<div id="text5" style="position:absolute; overflow:hidden; left:522px; top:468px; width:95px; height:22px; z-index:5">
<div class="wpmd">
<div><font face="Times New Roman" class="ws14">Statusreport</font></div>
</div></div>
